Heyo
On April 2nd 2025 I had a Penile Inversion Vaginoplasty with professor Szmanowski at Gyneka in Cracow, Poland
Today, that is 7 weeks after surgery - it’s ok, I feel good. My genital area is not that swollen anymore, there is minimal discharge from the sutures, I can sit comfortably now
I'll say that the results are quite ok - clitoris is fine, labia minora had a bit of complication, where raw tissue swole and was a bit exposed, labia majora is a bit stretched from swelling, but at the moment - It's not that big of a deal, I might get revision if I feel like it later. After 4 weeks I started dilating and right now I have 8cm of depth. During surgery I had minor complication, and after I woke up I had a bedsore on my tailbone, from the operating table, but I’ll describe that more later.
PRE-OP Appointments
After initial appointment with Professor Szymanowski, since I chose PIV, I was supposed to have one more pre-op appointment - with the Urologist.
With the Sigmoid Colon variant I would also need a colonoscopy pre-op. So - I went to reception desk… and they told me my appointment was canceled. I was supposed to be present on March 19th, at noon - and I was, but the receptionist was not informed that the surgery planned for that day was canceled, so the Urologist was not present… well, that sucks… FORTUNATELY though, doctor Szepieniec, the gynecologist who (If I understood correctly) would operate on me, and would be responsible for the last, cosmetic part of the surgery, forming the labia, final suturing and positioning everything in place. She used the free time she had and took me to her office. She performed a physical examination, she described and showed me pictures of many different patients, where she pointed what is what, how it’s done, how certain complications look like and why they might happen, and how to prevent or deal with them if they happen in my case. Doctor made a great impression on me - she was kind, delicate and emanated with knowledge and experience. After we were done we scheduled next appointment with a Urologist, because it was still waiting for me. It also turned out that the Urologist that was supposed to see me today was not the one who would operate on me, that one was on medical leave. So we set the date on April 31st… and it made me stress a bit, since it was really close to the scheduled surgery date, but doctor Szepieniec told me that from what she sees I have nothing to worry about, that appointment is only a formality, but still - necessary one.
So - I went on 31st. - this time he was there. He did the physical exam, we talked a bit, he asked for any questions, but I either already knew things or he explained them clearly. One thing I didn’t knew is that my urethra’s meatus was somewhat narrowed, probably by infections I got when I was younger (about 3-4 years old), but it was not a contraindication for doing the surgery. He prescribed me a laxative, that I was supposed to take day before surgery, and reminded me that I was supposed not to eat anything 24h before surgery, only drink water.
SURGERY DAY
They asked me to go the Hospital at Skotnicka 230a (St. Rose’s Hospital/ Szpital Św. Róży) at 7:20 AM. My Cousin took me there. We paid cash for at the hospital reception desk, which took a while before the receptionist counted the money, but I patiently waited. After that she sent me to the ward. There, head nurse led me to the room I’ll be recovering in after surgery. She gave me a hospital gown, paper panties and single use slippers. At first they gave me gown in side WAY to small, but I squeezed myself inside - I thought that it was supposed to be that short, more like a t-shirt than a gown
When the nurse returned and saw me she looked in disbelief of what they gave me. She found bigger gown - which fitted way better - and we went to the nurses station to get pre-op interview. She asked me about my overall health, diet restrictions, allergies, recent illnesses and my history with anesthesia, etc.
Anesthesiologist came during the interview, and gave ma a brief on how my anesthesia will work and asked me to follow him upstairs - here I had to part ways with my cousin, she went home, and we went to the operating theatre on the 2nd floor. He let me into the room, where a nurse put a cannula into my palm and sticked monitor electrodes onto my chest. Then they took me to the operating room, where they told me to lie on the table, put the legs into restraints, placed a pressure sensor sleeve on my arm, and connected the EKG monitor. What happened after - I don’t remember, I was put under.
*** TW now, because I’m going to describe what I felt right after surgery - you could skip this part ***
The sense of time stopped. When I started to wake up from anesthesia I felt we were moving, that they were wheeling me over somewhere on my bed, and I heard a monitor beeps. I felt that pressure sensor sleeve was tightening o my arm, and low pressure alarm was sounding. I heard some conversations around me, even that someone was talking to me - I don’t remember what they said, but I know that they called to me directly by name, but I don’t remember absolutely nothing about what they said or who it was. That was a nurse probably, but I’m not sure. After that pain started, since the last of anesthesia faded. My memory of this is foggy - I remember that I was groaning and trembling from pain, I felt that my throat was dry, and one thing I could whisper was „hurts”. The Nurse tried to calm me, saying that she is just about to connect the pump with the pain medication. After that, when I felt pain subside I could wispered „water” and they gave me a pice of material or foam soaked in water - it really did the trick. After that my senses started to return.
***
STAY AT RECOVERY WARD
I regained consciousness fully it was about 4PM, when I woke up professor Szymanowski and doctor Szepieniec came to my room. They said that everything went fine, there was a minor snag with my bladder - they nicked and damaged its wall during the surgery and had to patch it - nothing super scary. I was very weak, the nurses were only giving me water. I called my family, but I slept most of the time. In the evening I gathered more strength, and the nurse helped me get up - as the professor suggested, since I was in good shape, and he told me that the faster I get up the better for my outcome. I was ready for pain when changing position, but it was nothing like that - the stitches were pulling the swollen skin, and the catheter, drain and tampon insides were uncomfortable, but not much pain. I got up and waddled around the room, holding onto the drip stand as support. Later I got up again, so nurse could change my sheets. This time I was standing without support - to be honest it was more hassle then help, since the wheels were not turning, so I had to drag it around, it was tipping over - not worth using, since I finished my drips. The night was tough, because I needed to sleep on my side and my legs were tingling and going numb form that. I was told not to sleep on my back, because I got a bedsore there from the operating table - it wasn't overly painful, but doctor told me to keep the pressure off of that area, so it could heal. So... the night was tough, I was sleeping for about an hour at a time, waking up and switching sides.
Next day was ok. Nurses were giving me meds and fluids, they were also encouriaging me to walk - they said that I was doing great for how early it was after surgery. Professor visited to see how I'm doing in the morning and in the afternoon, my cousin also visited later in a day
. The doctors said that they'll take the drain out next morning, and it's possible taht they'll discharge me in next afternoon
In the evening nurse took the compression tights off and helped me take a shower - on my god, that was great, that tights were sooo uncomfortable.
Next morning on the morning round professor told me that I'm doing great, so he doesn't see the need to keep me there any longer. He expained me how to take care of my new equipment at home, so everyting heals properly, and doctor Szepieniec took out the drian and packing in the meantime. It was best and worst experience of the whole hospital stay at the same time. Best - becuase the overall discomfort went down significantly, but the moment of pulling them out was not so great - it felt like I was stabbed down there. The drian tube was about 10 cm in there, so there is no surprise there. The packing removal just felt weird. They said that the discharge paperwork should be ready after dinner. My cousin came, helped me pack and took me home
About the place and quality of care - the Nurses there were the most wonderful nurses I've ever met. I'll add that I was alone on the ward for most of the time. They periodically checked on me, braught me meds, changed the ice pack I kept on my coochie at almost all times in the hospital, braught me food and made me tea when I asked. Also about the food - it was delicious, and the nurses asked me when I wanted to eat and warmed it as I asked them to, not on rigid schedule, so that was also nice
When I had my first meal they needed to rewarm it, since I became a bit nauseous, but it passed and I finished food later
RECOVERY AT HOME
When I returned home it was fine - ride back home was hard, especially on the turns, but after returning recovery was going smoothly. After a week a part of my labia minora started swelling up and raw tissue got exposed, it swole a bit more, but I got a antibiotic spray to help with it. Besides that - pain meds and timing them correctly was crucial at the first weeks. I started getting up more on the second week, doing small tasks around the flat. I couldn't sit for long periods of time, and to even try I needed to use a doughnut pillow. Thankfully my roommate, cousin and her husband were helping me out a lot - I am very thankful to them
After first week I got my first checkup - doctor Szepieniec examined me, told me that black scabbing on the clitoris was a concerning sign, but it was still soft underneath, so it was most likely superficial bloodflow problem. She gave me prescription for some creme to help with encouraging bloodflow, and my clit returned to normal, pink color. After second week I started to reduce my pain meds, and 14 days post op I removed my catheter - oh my god that was a huge relief. They told me to use a syringe and draw out 10ml of saline to deflate the ballon that was anchoring the cathether inside my bladder - and I couldn't do that, I drew 8ml and couldn't draw more. So I did the "contingency plan" Nurse showed me - I cut the drain port, fluid leaked out, and the cath was free
. Next weeks went by uneventfully - I became more and more active, whithout the cath I could bend down and reach the floor with my hands, which was hard before. By week 3 i started going out of the house by myself for short walks, or to hang with my cousing at their place. On the 4th week I had another checkup - on this one everything was still going fine, I was cleared to start dilation - which is fine, I am about 8-9cm deep, dr Szepieniec recommened me starting from Vagiwell Dilator no. 2 but I tried, and on the second try started with 3, as with 2 I felt nothing, no pain or discomfort, not much in a way of stretching. With 3 i truly felt it in there. Now - at week 6 I start with 15 minutes with no. 3 and then go up to no. 4 for 20-25 minutes.
To sum it all up - I love how it turned out It was not easy, but thankfully - not super hard either
I'm healing well, it looks allright to me, I might get minor cosmetics done, especially with labia minora around urethra might need that, but right now - I don't think that's fully necessary - we'll see what future holds
J'ai perdu de la taille comparé à ma première photo j'étais sur du (27cm) et je mesure 1,66m de taille.
..(27cm) ne me dérangeais pas..
️prenez soin de vous les amis
